Organization Name: | PARKWAY SURGERY CENTER LLC |
NPI Number: | 1013278993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT J LEE (CO-MANAGER) |
Mailing Address: | 1485 Parkway Dr Blackfoot |
State: | ID US |
Postal Code: | 832211667 |
Phone Number: | 2087855100 |
Fax Number: | 2087855112 |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | NO LICENSE REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |